Bouknight, Daniel P
Bouknight, Daniel P is an individual health care provider with primary practice located at 1 Wellness Blvd Ste 106 , Irmo SC 29063-2872. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bouknight, Daniel P can be contacted via phone (803) 888-2282.Contact Information
Primary practice address
1 Wellness Blvd Ste 106
Irmo SC 29063-2872
Phone: (803) 888-2282
Fax: (803) 888-2299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 17456 | South Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 17456 | South Carolina |
Profile Details
| NPI number | 1427057009 |
|---|---|
| LBN Legal business name | Bouknight, Daniel P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Jun 27th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427057009 | NPPES |
| South Carolina | Other | 17456 | SC LICENCE |
| South Carolina | MEDICAID | 174563 | SC LICENCE |
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